| Department File Number : | M201573831 |
| Claim Number : | 173176 |
| Date Submitted : | 7/6/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 38-2317569 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joe | H | Grasse | ||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 439 - 7969 | jgrasse@proassurance.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Gil | A | Cu | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4131 University Blvd South, Bldg 6 | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32216 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP39836 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME69707 | Nephrology - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| BAPTIST MEDICAL CENTER AND WOLFSON | 100088 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/28/2007 | 8/29/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/11/2011 | 45-2010-CA-000060-A | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Nassau | 3/11/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Baptist Medical Center - Nassau Freed, Harris Pietrasiuk, David G | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $51,543 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $19,049 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 7/6/2015 11:20:41 AM | |||||||||
| Reason for Change: | update ALAE | |||||||||
| ||||||||||
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. GIL A CU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GIL A CU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).